• Title/Summary/Keyword: herpes zoster

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Disseminated Herpes Zoster in an Immunocompetent Elderly Patient

  • Yoon, Keon Jung;Kim, Su Hwa;Lee, Eun Ha;Choi, Ji Hye
    • The Korean Journal of Pain
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    • v.26 no.2
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    • pp.195-198
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    • 2013
  • Herpes zoster is a cutaneous infection that is characterized by an acute vesicobullous rash with ipsilateral one or two dermatomal distribution and painful allodynia, while predominantly being found in the elderly. Extensive cutaneous dissemination has been reported in immune-compromised patients, such as those who suffer from HIV infections, cancer, chemotherapy, and corticosteroid therapy patients. However, we report a case of disseminated herpes zoster infection in an immuno-competent elderly individual.

Herpes Infection (임상가를 위한 특집 3 - 헤르페스 감염)

  • Lee, Sang-Shin;Lee, Suk-Keun
    • The Journal of the Korean dental association
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    • v.48 no.5
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    • pp.365-370
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    • 2010
  • Herpes virus family is highly infectious to patients, their families and dentists. The diagnosis of herpes infection is based on the characteristic clinical appearance and the location of the lesions. Herpes Simplex Virus(HSV) usually acquired through direct contact with infected lesions or body fluids, and the prevalence of HSV infection increases progressively from childhood. Primary infections provoke herpetic gingivostomatis typically affects the tongue, lips, gingival, buccal mucosa and palate. Recurrent infections give rise to vesiculo-ulcerative lesions at vermilion border of lip(herpes labialis). In the form of chickenpox, Varicella Zoster Virus(VZV) usually is infected in childhood. VZV spreads in the affected primary afferent nerve to the skin and produces a vesicular rash and pain. Epstein-Barr Virus(EBV) infects B cells and cause infectious mononucleosis. Latent EBV infection has also been implicated in Burkitt lymphoma, nasopharyngeal carcinoma. Cytomegalovirus(CMV) is associated with immune-compromised patient such as organ transplantation and AIDS patients.

A Case Report of Facial Nerve Palsy in Herpes Zoster Oticus with Chronic Hepatitis B (만성 간염환자의 이성(耳性) 대상포진 치험 1례)

  • Kim, Min-Hi;Kim, Ja-Hye;Yoon, Hwa-Jung;Ko, Woo-Shin
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.18 no.2
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    • pp.80-85
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    • 2005
  • A female visited the Dept. of Oriental Ophthamology & Otolaryngology & Dermatology, Dong-eui University with Facial Nerve Palsy in Herpes Zoster Oticus. She had been taking ill with chronic hepatitis B and taking western medicine. We treated a patient with only Oriental Medicine.(the herbal medication and acupuncture etc). Because she was afraid of herbal medicine -induced hepatitis, went through an examination about LFT profile regularly. The symptom of Herpes Zoster Oticus was improved and there was no abnormality in LFT profile. Through this case, we thought that it is possible to treat the other disease of the patient with chronic hepatitis using herbal medication without hepatotoxic hepatitis. But for the safety of patient and doctor in several case, we need to accumulate objective data about the side effect of herbal medications inducing hepatotoxic hepatitis.

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A Case Study of a Herpes Zoster Ophthalmicus Patient Treated by Korean-Western Cooperative Treatment (한양방치료를 병행한 안성 대상포진 환자 치험 1례)

  • Park, Min-jeong;Yang, Jung-yun;Kim, Soo-hyun;Cho, Ki-ho;Moon, Sang-kwan;Kwon, Seung-won;Jung, Woo-sang
    • The Journal of Internal Korean Medicine
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    • v.39 no.2
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    • pp.159-164
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    • 2018
  • A case of a 72-year-old Korean male with herpes zoster ophthalmicus revealed. He was treated with Korean-Western cooperative treatment. We used the Numeric Rating Scale (NRS) to evaluate forehead and eye pain. Pain was improved after the administration of Korean medical treatments and disappeared after eight days. Korean-Western cooperative treatment may be effective in treating acute herpes zoster ophthalmicus.

Case of Vocal Cord Paralysis And Upper Limb Motor Paralysis Caused by Herpes Zoster (대상포진에 의해 발생한 성대마비 및 상지운동신경마비 1례)

  • Yeo, Eun-Ju;Park, Kyung-Mi;Cho, So-Hyun;Chun, Hea-Sun
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.25 no.2
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    • pp.322-325
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    • 2011
  • Motor paralysis by herpes zoster is rare. The incidence of herpetic motor involvement was reported to be between 0.5-31%. This case was reported to evaluate the effects of oriental medicine therapy on vocal cord paralysis and upper limb motor paralysis caused by herpes zoster. The subject was a 48-year-old man who suffering from hoarseness, right upper limb paralysis, right upper limb weakness, right post ear pain, headache. After our treatment, clinical symptoms were improved and VAS score significantly decreased. This study suggests that herbal medicine and acupuncture complex therapy is probably effective in the treatment of vocal cord paralysis and upper limb motor paralysis.

Pain and Weakness on Unilateral Upper Extremity Diagnosed as Brachial Plexopathy after Herpes Zoster Infection (대상포진후 상완신경총병증으로 진단된 편측 상지의 통증과 위약)

  • Cho, Junmo;Kang, Si Hyun;Seo, Kyung Mook;Kim, Don-Kyu;Kim, Du Hwan;Shin, Hyun Iee
    • Clinical Pain
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    • v.19 no.2
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    • pp.124-128
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    • 2020
  • Motor paralysis is a less common neurologic complication of herpes zoster. Until now, a few cases have been reported, and most of these cases showed brachial plexopathy involving one or two segments. We report a patient with pain and weakness on upper extremity diagnosed as brachial plexopathy after herpes zoster infection. An 88-year-old female patient complained not only tingling sense, pain, and swelling on right whole arm, but also weakness on this right upper extremity. On physical examination, weakness is seen in right shoulder abduction·shoulder flexion·elbow flexion·elbow extension· wrist extension (grade 4), finger flexion·finger abduction·finger extension·finger DIP flexion (grade 3). In electrodiagnostic study and magnetic resonance imaging study, she was diagnosed as the brachial plexopathy, whole branch involved. This is the only case of post-herpetic brachial plexopathy involving whole branch in domestic.

A Case Report of a Patient with Herpes Zoster during Pregnancy Improved by Traditional Korean Medicine Treatment (한의 복합 치료를 통해 호전된 임신 중 대상포진 환자에 대한 치험 1례)

  • An, Hye-Won;Cho, Si-Yoon;Yoon, Hee-Jae;Lee, Ji-Yeon
    • The Journal of Korean Obstetrics and Gynecology
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    • v.35 no.3
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    • pp.137-149
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    • 2022
  • Objectives: The purpose of this study is to report the effect of Korean medicine treatment in a patient with Herpes Zoster (HZ) during pregnancy. Methods: During 12 days of hospitalization, a patient was treated by Korean medicine treatment such as herbal medicine including Gami-danggui-san, acupuncture, cupping and fumigation. To evaluate the effect of treatment, we took pictures of skin lesion and symptoms were measured by Numeric Rating Scale (NRS), Short-Form McGill Pain Questionnaire (SF-MPQ) and 36 item Short Form Health Survey (SF-36). Results: After Korean medicine treatment, most of vesicles disappeared. NRS of chief complaints such as neuralgic pain and itchness changed 7-8 to 0 and therefore, quality of life of the patient was elevated sharply. Conclusions: This case shows that Korean medicine treatment is beneficial and safe for the patients who suffered from Herpes Zoster during pregnancy.

Two Cases of the Acute Stage of Herpes Zoster Patients Improved by Korean-Western Medicine Combination Treatment (한양방 병행치료로 호전된 급성기 대상포진 2례)

  • Ji-Young Choi ;Ji-One Im ;Seon-Young Jee ;Min Hwangbo
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.36 no.4
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    • pp.187-195
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    • 2023
  • Objectives : The aim of this study is to report the effect of Korean-western combination treatment in two patients with Herpes Zoster. Methods : During hospitalization, two patients were treated with Galgeunkilkyung-tang, acupucture, pharmacopuncture, antiviral agents, painkiller. To evaluate the effect of this treatment, we used Numeric Ration Scale(NRS) and Quality of Sleep(QSP). Results : After treatment, NRS and QSP of 2 patients were improved remarkably. Conclusions : According to the result, these finding suggest that Korean-western combination treatment can be effective for the treatment of herpes zoster.

A Case Report of Herpes Zoster Patient with Post-herpetic Neuralgia Improved by Galgunhaegui-tang and Korean Medicine Treatment (갈근해기탕과 한의치료로 호전된 대상포진 환자 치험 1례)

  • Woohyeon Noh;Kyou-Young Lee;Jun-Sang Yu
    • Journal of Sasang Constitutional Medicine
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    • v.35 no.4
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    • pp.105-115
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    • 2023
  • Objectives Post-herpetic neuralgia(PHN) is one of the common complications in patients diagnosed with herpes zoster. The purpose of this case study is to suggest the effect of Galgunhaegui-tang and korean medicine treatment for post-herpetic neuralgia patient. Methods A 62-year-old Herpes Zoster patient suffered from rash with post-herpectic neuralgia was identified as Taeeumin Gansuyolriyolbyong. The patient's chief complaint was assessed by counting the number of oral analgesics taken and using Visual Analog Scale(VAS) score. The patient was treated with Galgunhaegui-tang and Korean medicine treatment. Results After 9 days of admission treatment including Galgunhaegui-tang, VAS of PHN was decreased from 7.5 to 4 and the number of taking oral analgesic was decreased from 2 to 1. Conclusions This case study indicates that Galgunhaegui-tang and Korean medicine treatment may improve the pain of PHN.

A Case Report of the Korean-Western Medicine Combination Treatment of Two Patients with Acute Herpes Zoster under 50 Years of Age (50세 이하 급성기 대상포진의 한양방 복합치료 치험 2례)

  • Min-Ji Kim;Ji-Hoon Song;Soo-Yeon Park
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.37 no.1
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    • pp.113-125
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    • 2024
  • Objectives : The purpose of this study is to report the effect of Korean-Western medicine combination treatment administered to two patients with acute herpes zoster. Methods : During hospitalization, the two patients were treated with Hyeonggaeyeongyotang-gagam, Hwangryunhaedok-tang wet dressing, pharmacopuncture, acupuncture, and other western medications including antiviral and analgesic agents. Photographs of skin lesions, numeric rating scale(NRS), and visual analog scale(VAS) were used to assess the improvement of symptoms. Results : At the time of discharge, both patients showed remarkable improvement in skin lesions, NRS for pain, and VAS for pruritus and insomnia. Conclusions : The results demonstrated that Korean-Western medicine combination treatment may be effective for treating herpes zoster.